Computer Basics
______________________ enable communication among linked PC's.
Networks
The information system that assists in assigning ICD-10 diagnosis and procedure codes is called a(n):
encoder
Dr. SMith, a radiologist, is accessing and viewing digital radiology images for a patient on his computer.
The type of information system he is using is called:
picture archival communication system (PACS)
Define a duplicate record
when multiple records for the same patient are created - patient then has multiple medical record numbers
Why is it important to accurately collect patient gender/race/ethnicity at the point of registration?
Identification reasons
Health conditions are more common in certain genders or races
Some procedures and tests can be gender based and have different results by gender
The PC software that instructs the computer in its operations and regulates the hardware is:
operating system
Which product would identify that Dr. Smith needs to sign a discharge summary?
chart deficiency
Which of the following data elements would NOT be collected and stored in a MPI (master patient index)?
Patient gender
Admission date
Encounter type
Discharge diagnosis
Discharge diagnosis
Name a repercussion of duplicate or overlay patient records.
intensive resources to fix - expensive and labor intensive
can result in patient care errors
HIPAA violations
legal issues - misinformation passed on to other healthcare organizations
lost reimbursement
fragmented/incomplete records
Why is it important to integrate systems within a facility?
Efficiency - data in one system transfers to other systems
Accuracy - Data is entered once and reduces number of chances for entry errors
Data can be transmitted from one information system to another through the use of:
interface
Which of the following systems would be used to report patient disease outcomes?
release of information system
encoder/grouper
cancer registry
chart deficiency system
cancer registry
Which of the following would require scanning into a document management system, rather than flowing from a source system via COLD feed or interface?
transcribed operative report
laboratory test results
radiology report generated by the radiology information system
handwritten physician orders
handwritten physician orders
Who typically identifies overlays?
those who perform registration
billing staff
clinicians
patients - via access of their records in portals
How can EHR implementation improve patient care?
Accuracy
Access to information
Engagement of patient in care
Efficient Care
Which of the following would be a use of an intranet?
used by an employee to access HIPAA policies for the hospital where he/she works
Which of the following systems could have voice recognition as a feature?
release of information system
encoder/grouper
trauma registry
dictation system
dictation system
Which system would look for contraindications between two medications such as Coumadin and Iubuprofen which could increase bleeding?
Pharmacy
What are the characteristics of a fuzzy algorithm search?
Identifies near matches - misspelled names/character tarnspositions
A report of key measures for leadership to monitor status of measures. Often presented in a graphical layout to provide information in a way that is quick and easy to understand.
As HIM Manager, you compile and report weekly, monthly, and annual statistics on the productivity of your coding and document capture staff. You report
these statistics in graph format. The best software to use for your productivity reports is:
spreadsheet software
A chart locator system assists with compliance of which Joint Commission mandate?
record accessibility
Radiology Information System
What are the characteristics of a deterministic algorithm search?
seeks exact patient match
search results improve as more patient information is used - limits search patient matches
A common programming language used with the Internet is:
HTML